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WORK REQUEST FORM <br /> Date of Request: 111003 Requested Completion Date: 111103 <br /> Proj Name: Advanced Interconnect Inc Proj No: 54.62580.0001 <br /> Site Address: 555 Carnesie Manteca Ca Task: 01 <br /> Project Manager: Jeanne Homsey Field Tech: Alex Flores <br /> Client Contact: Gerry Ramirez Phone No: 209-824-1168 <br /> Regulatory Contact: Phone No: <br /> Approval:_' Completion Date: ///M3 A-F <br /> _Notify Client 48 hrs prior to site work S� �� C <br /> Check in with Gerry Ramirez A 17- <br /> Monitor <br /> TMonitor DTW/DTB in MW-1-3 <br /> Purge and sample all wells in order MW-1 3 and 2 <br /> Sample for Priority metals (13• As Ag Be Cd Cr Cu Ni Pb Sb Se Tl Hg and <br /> Zn. <br /> Samples to Exelchem <br /> Contain purge water. Take three drums <br /> Pumped pursed water into trench at the WWTS which is up and running <br /> All wells are four-inch DTW-18 feet (03/03) DTB-35 feet <br /> Prepare purchase requisition form for samples Ne < 0c <br /> AFLoxaswr.aoe <br />